Provider Demographics
NPI:1326776881
Name:ALLIED BEHAVIORAL COACHING
Entity Type:Organization
Organization Name:ALLIED BEHAVIORAL COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-274-6536
Mailing Address - Street 1:5606 N NAVARRO ST STE 302C
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1770
Mailing Address - Country:US
Mailing Address - Phone:210-274-6536
Mailing Address - Fax:
Practice Address - Street 1:5606 N NAVARRO ST STE 302C
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1770
Practice Address - Country:US
Practice Address - Phone:210-274-6536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:H&S VENTURES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-11
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1629539374Medicaid